Mcclelland, Joan Q
Mcclelland, Joan Q is an individual health care provider with primary practice located at 3917 West Rd Suite 150, Los Alamos NM 87544-2275. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mcclelland, Joan Q can be contacted via phone (505) 662-4351.Contact Information
Primary practice address
3917 West Rd Suite 150
Los Alamos NM 87544-2275
Phone: (505) 662-4351
Fax: (505) 662-2932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R30440 | New Mexico |
Profile Details
| NPI number | 1194740555 |
|---|---|
| LBN Legal business name | Mcclelland, Joan Q |
| Credentials | Certified Family Nurse Practitioner (CFNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Mar 5th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194740555 | NPPES |
| New Mexico | MEDICAID | 97528 | |
| New Mexico | Other | NM006287 | |
| New Mexico | Other | 2202010923 | |
| New Mexico | Other | 2385852 | |
| New Mexico | Other | 100005460 | |
| New Mexico | Other | 0009444161 | |
| New Mexico | Other | PROVP14420 |
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